Declaration Form

We have applied for “Trade Dress” protection with the US Patent and Trademark Office. We just need your Declaration that the Stinky Cigar Ashtray design is recognized as our unique style.

Please read and submit the following form. Ask your friends to submit one for us too!

Name *

First

Last

ZIP Code *

Enter 5 digit zip code only

Email Address *

I make this Declaration on Behalf of Mr. and Mrs. Salviano dba Stinky Cigar, in support of Stinky Cigar’s Response to the Office Action issued against Application Serial Nos. 90490000 and 90490007.

Declaration Over 18 *

• I am over the age of 18 and I am mentally competent.

Declaration Is Consumer *

• I am a consumer of cigar ashtrays and cigar-related products.

Declaration Recognizes Design *

• When I see the cigar ashtray product shape and configuration, including without limitation, the unique shape of the bowl and stirrup(s) depicted below (Stinky Cigar Designs), I immediately think of Stinky Cigar and associate the products offered in connection with the Stinky Cigar Designs as originating from Stinky Cigar.

Declaration True Statements *

• I have personal knowledge of the facts stated herein, except where stated upon information and belief, and as to facts stated upon information and belief, I am informed of those facts and believe them to be true.

Declaration False Statements *

• The undersigned being warned that willful false statements and the like are punishable by fine or imprisonment, or both, under 18 U.S.C. § 1001, and that such willful false statements and the like may jeopardize the validity of the application or document or any registration resulting therefrom, declares that all statements made of his or her own knowledge are true; and all statements made on information and belief are believed to be true.

Signature *

Clear Signature

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Thank you!

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